OntarioMD i4C Dashboard Indicator Library

EMR i4C Dashboard Specification

The EMR i4C Dashboard Specification identifies the functional requirements for implementing the i4C Dashboard in an EMR Offering. It defines a dashboard that supports the visual representation of provincial health indicators.

Refer to our EMR Specifications Library for the current EMR i4C Dashboard Specification.

 

i4C Dashboard Indicator Library

The i4C Dashboard Indicator Library lists all provincial health indicators established by OntarioMD in collaboration with other health organizations such as AFHTO, CIHI, ICES and HQO.  These indicators support the EMR i4C Dashboard Specification in a certified EMR Offering. The technical details for each indicator are defined through a set of meta-data.

The i4C Dashboard Indicator Library consists of Draft For Comment, Draft For Use, and Final i4C Dashboard Indicators, identified as such under the Status column of the List of Available i4C Dashboard Indicators below.

  • Final signifies that validation for the i4C Dashboard Indicator is available for an EMR Offering through an i4C Indicator Release.
  • Draft For Use (DFU) signifies that the i4C Dashboard Indicator is stable and ready for use but not currently included within an i4C Indicator Release.
  • Draft For Comment (DFC) signifies that the i4C Dashboard Indicator is still in development but available for consultation/feedback. As a Draft For Comment, additional updates are expected.

To view the list of indicators pertaining to a specific category, click on the respective Indicator Category.

All rights reserved.  No use of the OntarioMD Indicator Library is permitted except under license with OntarioMD



List of Available i4C Dashboard Indicators Categories

Chronic Disease Management

Reporting

Preventive Health Care

Medication Management

Practice Management

Coronary Artery Disease

Care Bonus

Allergies

Antibiotics

Hospitalization

COPD

Baby and Child Well-being

Opioids

Patient Status

Depression

 

Blood Pressure

Other

 

Diabetes

 

Cancer

Psychoactive

 

Hypertension

 

Immunizations

Seniors

 

 

Obesity

 

 

Smoking

 


Full details of each indicator can be downloaded individually by clicking on the respective Indicator Name, or by clicking on the “Download all Indicators” link to download the set of all available indicators.

Download all Indicators

List of Available i4C Dashboard Indicators



Indicator

ID

Indicator Name

Description

Source

Version

Status

Publication
Date

Coronary Artery Disease (CDM)

CDM-CAD-001

CAD Identification

This indicator is used to identify patients with Coronary Artery Disease (CAD). Click for indicator clinical details and usage.

OntarioMD

2.1

Final

2020-06-15

CDM-CAD-002

CAD Testing Status

 

This indicator is used to identify patients who are missing elements of care commonly associated with Coronary Disease Management. Click for indicator clinical details and usage.

CIHI

2.1

Final

2020-06-15

CDM-CAD-003

CAD Overdue Items

This indicator is used to identify patients missing specific elements of care used in the CAD Testing Status indicator. Click for indicator clinical details and usage.

CIHI

2.1

Final

2020-06-15

COPD (CDM)

CDM-COPD-001

COPD Identification

This indicator is used to identify patients with Chronic Obstructive Pulmonary Disease (COPD). Click for indicator clinical details and usage.

CPCSSN

2.0

DFC

2020-06-15

CDM-COPD-002

COPD Smoking Counselling

This indicator is used to Identify patients with COPD who may be eligible for smoking cessation counselling. Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

CDM-COPD-003

COPD Inhaled

Corticosteroids  Prescribed

 


This indicator is used to identify patients with COPD receiving inhaled corticosteroids either as monotherapy or in conjunction with other treatments. Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

CDM-COPD-004

COPD Short-Acting Bronchodilator Prescribed

This indicator is used to identify patients with COPD who have had a short-acting bronchodilator prescribed in the past year. Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

CDM-COPD-005

COPD Influenza

Immunization

 


This indicator is used to identify patients 65+ with COPD who are not up to date with immunization against influenza. Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

CDM-COPD-006

COPD Pneumococcal Immunization

This indicator is used to identify patients with COPD who are not immunized against pneumonia. Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

Depression (CDM)

CDM-DEP-001

Depression PHQ9 Screening Status

 

This indicator is used to identify patients with major depression who have not been screened with a patient health questionnaire (PHQ-9) in the past 12 months. Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

Diabetes (CDM)

CDM-DIAB-001

Diabetes Identification

This indicator is used to identify patients with diabetes. Click for indicator clinical details and usage.

OntarioMD

2.1

Final

2020-06-15

CDM-DIAB-002

Diabetes HbA1c

Testing Status

 


This indicator is used to identify patients with diabetes who have had less than two HbA1c tests within the past 12 months. Click for indicator clinical details and usage.

HQO

2.1

Final

2020-06-15

CDM-DIAB-003

Diabetes with HbA1c in Range

This indicator is used to identify patients with diabetes whose most recent glycemic control in the last 12 months was in the following ranges: 

  • HbA1c <= 7%
  • 7% < HbA1c <= 8.5%
  • HbA1c > 8.5%

Click for indicator clinical details and usage.

AFHTO

2.1

Final

2020-06-15

CDM-DIAB-004

Diabetes Assessment Billed

This indicator is used to identify diabetic patients who may be due for diabetic management assessment and who may eligible to have a K030 service code billed. Click for indicator clinical details and usage.


HQO

2.0

DFC

2020-06-15

CDM-DIAB-005

Diabetes Management Incentive Billed

This indicator is used to identify diabetic patients for whom a diabetes management incentive (Q040) has not been billed in the past 12 months. Click for

indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

CDM-DIAB-006

Diabetes Retinal Exam Status

 

This indicator is used to identify diabetic patients due for a retinal screening. Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

CDM-DIAB-007

Diabetes Foot Exam Status

This indicator is used to identify diabetic patients due for a foot exam. Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

CDM-DIAB-008

Diabetes Microalbuminuria Testing Status

This indicator is used to identify diabetic patients due for microalbuminuria screening. Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

CDM-DIAB-009

Diabetes Creatinine Testing Status

This indicator is used to identify diabetic patients due for a  kidney functioning test (through an eGFR screening or serum creatinine test). Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

CDM-DIAB-010

Diabetes BMI Recorded

This indicator is used to identify diabetic patients who have not BMI recorded in the past 12 months. Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

CDM-DIAB-011

Diabetes Statins

Prescribed

 


This indicator is used to identify diabetic patients 40 and older who are not currently prescribed a statin medication. Click for indicator clinical details and usage.

HQO

2.0

DFC

2020-06-15

Hypertension (CDM)

CDM-HTN-001

HTN Identification

This indicator is used to identify patients with Hypertension. Click for indicator clinical details and usage.

OntarioMD

2.1

Final

2020-06-15

CDM-HTN-002

HTN Testing Status

This indicator is used to identify patients with one or more completed elements of care commonly associated with Hypertension. Click for indicator clinical details and usage.

CIHI

2.1

Final

2020-06-15

CDM-HTN-003

HTN Overdue Items

This indicator is used to identify patients missing specific elements of care used in the Hypertension Testing Status indicator. Click for indicator clinical details and usage.

CIHI

2.1

Final

2020-06-15

CDM-HTN-004

HTN BP In Control

This indicator is used to identify patients with Hypertension both with and without Diabetes whose blood pressure is not within control. Click for indicator clinical details and usage.

CIHI

2.0

DFC

2020-06-15

Antibiotics (Medication Management)

MED-ABX-001

Use of Antibiotics

This indicator is used to identify antibiotic prescribing patterns across different age groups in a practice. Click for indicator clinical details and usage.

HDC

2.0

DFC

2020-06-15

Opioids (Medication Management)

MED-OPI-001

Opioids Prescribed

This indicator is used to identify non-palliative care patients who currently are prescribed one or more opioids. Click for indicator clinical details and usage

HQO

2.1

Final

2020-06-15

MED-OPI-002

Opioid and

Benzodiazepine
Co-prescribing


This indicator is used to identify non-palliative care patients with one or more current opioid prescriptions who also have one or more current benzodiazepine prescriptions. Click for indicator clinical details and usage.

HQO

2.1

Final

2020-06-15

MED-OPI-003

Opioid Daily Dosage: Total MMEq/day

This indicator is used to identify patients who have a high cumulative daily dosage of opioids based on current opioid prescriptions. Click for indicator clinical details and usage.

HQO

2.1

Final

2020-06-15

MED-OPI-004

Opioid High-Risk Co-prescribing

This indicator is used to identify patients potentially at risk due to co-prescribing of opioids with other types of medications: benzodiazepines, z-drugs, pregabalin, or gabapentine. Click for indicator clinical details and usage.

NHS

2.0

DFC

2020-06-15

MED-OPI-005

Buprenorphine Prescribed

 

This indicator is used to identify patients with a current buprenorphine prescription used to treat opioid addiction. Click for indicator clinical details and usage.

CAMH

2.0

DFC

2020-06-15

MED-OPI-006

Opioid High-Risk Co-prescribing Recall

This indicator is used to identify patients potentially at risk due to co-prescribing of opioids with another specific type of medication: benzodiazepines, z-drugs, pregabalin, and gabapentine. Click for indicator clinical details and usage.

NHS

1.0

DFC

2020-06-15

Other Drugs (Medication Management)

MED-OTH-001

Digoxin Medication Use

This indicator is used to identify and monitor patients prescribed digoxin within the past year. Click for indicator clinical details and usage.

HDC

1.1

DFC

2020-06-15

MED-OTH-002

Concurrent Use Of NSAID With Anticoagulants

 

This indicator is used to identify patients currently prescribed a Non-steroidal anti-inflammatory drug (NSAID) who are not currently prescribed an anticoagulant. Click for indicator clinical details and usage.

NHS

1.1

DFC

2020-06-15

MED-OTH-003

Concurrent Use Of NSAID, RAS Drug, and Diuretic

 

This indicator is used to identify patients currently prescribed a Non-steroidal anti-inflammatory drug (NSAID) along with a Renin-angiotensin system blocking drug (RAS) and/or a diuretic. Click for indicator clinical details and usage.

NHS

2.0

DFC

2020-06-15

MED-OTH-004

Anticoagulant Use and Monitoring

This indicator is used to identify patients currently prescribed a Direct Oral Anticoagulant (DOAC) who have not been recently monitored for kidney functioning with an eGFR screening. Click for indicator clinical details and usage.

PCQ

2.0

DFC

2020-06-15

Psychoactive (Medication Management)

MED-PSY-001

Antidepressants Prescribed

 

This indicator is used to identify patients prescribed an antidepressant medication. Click for indicator clinical details and usage.

HDC

1.1

DFC

2020-06-15

MED-PSY-002

Antipsychotics Prescribed

 

This indicator is used to identify patients prescribed an antipsychotic medication. Click for indicator clinical details and usage.

HDC

1.1

DFC

2020-06-15

MED-PSY-003

Benzodiazepines Prescribed

This indicator is used to identify patients prescribed a benzodiazepine medication. Click for indicator clinical details and usage.

HDC

1.1

DFC

2020-06-15

MED-PSY-004

Nonbenzodiazepine Sleep Drugs Prescribed

This indicator is used to identify patients prescribed a nonbenzodiazepine medication for sleeping (z-drug). Click for indicator clinical details and usage.

PCQ

1.1

DFC

2020-06-15

Seniors (Medication Management)

MED-SNRS-001

Polypharmacy: 65+

This indicator is used to identify senior patients (65 years and older) prescribed multiple medications. Click for indicator clinical details and usage.

HQO

1.1

DFC

2020-06-15

Hospitalization (Practice Management)

PRM-HOSP-001

Seven-day Follow-up After Discharge From Hospital

This indicator is used to measure percentage of patients who have had a 7-day post hospital discharge follow-up. Click for indicator clinical details and usage.

HQO

1.1

DFC

2020-06-15

Patient Status (Practice Management)

PRM-PAT-001

Patient Status

This indicator provides an overview of the patient population based on patient demographic status recorded in the EMR. Click for indicator clinical details and usage.

OntarioMD

2.1

Final

2020-06-15

Allergies (Preventive Health Care)

PHC-ALRG-001

Allergies Recorded

This indicator is used to identify patients without allergy information documented. Click for indicator clinical details and usage.

HQO

1.1

DFC

2020-06-15

Baby and Child Well-being (Preventive Health Care)

PHC-CHLD-001

Enhanced Well-baby Visit

 

This indicator is used to recall patients who have not been seen for an 18-month well-baby visit. Click for indicator clinical details and usage.

HQO

1.1

DFC

2020-06-15

Blood Pressure (Preventive Health Care)

PHC-BP-001

BP Testing

This indicator is used to identify patients 18+ who have not had their blood pressure measured within the past 24 months. Click for indicator clinical details and usage.

CIHI

1.1

DFC

2020-06-15

Cancer (Preventive Health Care)

PHC-CAN-001

Patient Care Breast Cancer Screening

This indicator is used to assist with the management of preventive screening for breast cancer. Click for indicator clinical details and usage.

CIHI

2.1

Final

2020-06-15

PHC-CAN-002

Patient Care Breast Cancer Screening Overdue

This indicator is used to prioritize patients that need a recall for breast cancer screening. Click for indicator clinical details and usage.

CIHI

2.1

Final

2020-06-15

PHC-CAN-003

Patient Care Cervical Cancer Screening

This indicator is used to assist with the management of preventive screening for cervical cancer. Click for indicator clinical details and usage.

HQO

2.1

Final

2020-06-15

PHC-CAN-004

Patient Care Cervical Cancer Screening Overdue

This indicator is used to prioritize patients that need a recall for cervical cancer screening. Click for indicator clinical details and usage.

HQO

2.1

Final

2020-06-15

PHC-CAN-005

Patient Care Colorectal Cancer Screening

This indicator is used to assist with the management of preventive screening for colorectal cancer. Click for indicator clinical details and usage.

CIHI

2.1

Final

2020-06-15

PHC-CAN-006

Patient Care Colorectal Cancer Screening Overdue

This indicator is used to prioritize patients that need a recall for colorectal cancer screening. Click for indicator clinical details and usage

CIHI

2.1

Final

2020-06-15

                                                                    Obesity (Preventive Health Care)                                         

PHC-OBES-001

Obesity Screening

This indicator is used to identify patients who are currently overweight or obese. Click for indicator clinical details and usage.

CIHI

2.1

Final

2020-06-15

Immunizations (Preventive Health Care)

PHC-IMM-001

Patient Care

Childhood Immunizations


This indicator is used to recall patients who have not completed routine childhood immunizations. Click for indicator clinical details and usage.

AFHTO

2.1

Final

2020-06-15

PHC-IMM-002

Patient Care

Childhood Immunizations Recall

 

This indicator is used

to recall patients who have not completed routine childhood immunizations by their 30th month of age. Click for indicator clinical details and usage.

AFHTO

2.1

Final

2020-06-15

PHC-IMM-003

Patient Care

Influenza Immunization


This indicator is used to identify patients age 65+ who are immunized against influenza. Click for indicator clinical details and usage.

CIHI

2.1

Final

2020-06-15

PHC-IMM-004

Pneumococcal Immunization

This indicator is used to identify patients age 65+ who are immunized against pneumonia. Click for indicator clinical details and usage.

HQO

2.1

Final

2020-06-15

PHC-IMM-005

HPV Vaccination

This indicator is used to identify patients who aren’t immunized for Human papillomavirus (HPV). Click for indicator clinical details and usage.

HQO

1.1

DFC

2020-06-15

PHC-IMM-006

Meningococcal

Vaccination

 


This indicator is used to identify patients who aren’t immunized for Meningitis. Click for indicator clinical details and usage.

HQO

1.1

DFC

2020-06-15

                                                                   Smoking (Preventive Health Care)             

PHC-SMK-001

Smoking Status

This indicator is used to identify patients without smoking status documented. Click for indicator clinical details and usage.

AFHTO

2.1

Final

2020-06-15

                                                                           Care Bonus (Reporting)                          

RPT-BNS-001

Preventive Care Bonus Breast

Cancer Screening


This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus. Click for indicator clinical details and usage.

MOHLTC

2.1

Final

2020-06-15

RPT-BNS-002

Preventive Care Bonus Cervical Cancer Screening

This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus. Click for indicator clinical details and usage.

MOHLTC

2.1

Final

2020-06-15

RPT-BNS-003

Preventive Care Bonus Colorectal Cancer Screening

This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus. Click for indicator clinical details and usage.

MOHLTC

2.1

Final

2020-06-15

RPT-BNS-004

Preventive Care Bonus Childhood Immunizations

This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus. Click for indicator clinical details and usage.

MOHLTC

2.1

Final

2020-06-15

RPT-BNS-005

Preventive Care Bonus Influenza
Immunization

This indicator is used to review the percentage of patients meeting the criteria for the preventive care bonus. Click for indicator clinical details and usage.

MOHLTC

2.1

Final

2020-06-15